LOYOLA UNIVERSITY MEDICAL CENTER NPI 1528112794

NPI Information

NPI: 1528112794
Provider Name: LOYOLA UNIVERSITY MEDICAL CENTER

Doing Business As: LOYOLA UNIVERSITY AIR AMBULANCE

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-0469
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LOYOLA UNIVERSITY MEDICAL CENTER is an air transport ambulance in Maywood, IL. LOYOLA UNIVERSITY MEDICAL CENTER NPI is 1528112794. The provider is registered as an organization entity type.
The provider Is Doing Business As Loyola University Air Ambulance.

The provider's business location address is:

2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-0469
Fax: (708) 216-0593

The provider's authorized official is John P Mordach .
The authorized official title is Cfo and has the following contact phone number (708) 216-4252.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 1/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416A0800X	Ambulance	Air Transport	8 825001	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0500	OTHER	ILLINOIS	BLUE CROSS
2	140276	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	LOYOLA UNIVERSITY MEDICAL
3	364015560004	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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